Mec Dental Management LLC

NPI #1114230919 in Indianapolis, Indiana

Provider Information

NPI Number
1114230919
Entity Type
Organization
Organization Name
Mec Dental Management LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 21, 2010
Last Updated
Jul 21, 2010

Practice Location

Address
5426 N KEYSTONE AVE
State
Indiana
ZIP Code
46220-3456
Phone
(317) 252-5480

Authorized Official

Name
DR. MATTHEW EDWARD CHURCH, DDS
Title
OWNER/DENTIST
Phone
(317) 252-5480

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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